Deerwood Orthodontics, LLC
NPI 1962150458ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Waukesha, WI
Dentist, Orthodontics and Dentofacial Orthopedics in Waukesha, Wisconsin, registered in NPPES in March 2022, part of Deerwood Orthodontics, LLC. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1962150458 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Deerwood Orthodontics, LLC |
| NPI issued | Mar 14, 2022 |
| Last updated in NPPES | Mar 14, 2022 |
| Certified by provider | Mar 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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